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Onychomadesis secondary to hand-foot-and-mouth disease: a case report

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Detalhes bibliográficos
Resumo:Introduction: Onychomadesis is the detachment of the nail plate from the proximal crease of the nail. This self-limited nail change has been described as a late complication of hand-foot-and-mouth disease, a common viral infection in children. Case description: A 4-year-old female child, accompanied by her father (legal representative), presented to an urgent appointment with high fever, vesicles, and pustules on the oral mucosa, tongue, perineum, palms, and soles of the hands and feet. The diagnosis of hand-foot-mouth disease was made. After three weeks, she returned to another appointment, with complete resolution of the viral picture, but with nail changes consistent with onychomadesis. Comment: Onychomadesis secondary to hand-foot-and-mouth disease is a relatively uncommon manifestation, but one that causes considerable anxiety to parents. Recognition of this association makes it possible to guide parents on the transient and benign situation that can arise with this viral infection, avoiding anxiety, overuse of health care, and unnecessary treatments.
Autores principais:Teixeira, Sara Pereira
Outros Autores:Sonié, Pedro; Perro Neves, Marta; Duarte, Ana Rita; Almeida, Marta
Assunto:Onychomadesis Hand-foot-mouth disease Overtreatment Anxiety Onicomadese Doença mão-pé-boca Sobretratamento Ansiedade
Ano:2024
País:Portugal
Tipo de documento:artigo
Tipo de acesso:unknown
Instituição associada:Associação Portuguesa de Medicina Geral Familiar
Idioma:português
Origem:Revista Portuguesa de Medicina Geral e Familiar
Descrição
Resumo:Introduction: Onychomadesis is the detachment of the nail plate from the proximal crease of the nail. This self-limited nail change has been described as a late complication of hand-foot-and-mouth disease, a common viral infection in children. Case description: A 4-year-old female child, accompanied by her father (legal representative), presented to an urgent appointment with high fever, vesicles, and pustules on the oral mucosa, tongue, perineum, palms, and soles of the hands and feet. The diagnosis of hand-foot-mouth disease was made. After three weeks, she returned to another appointment, with complete resolution of the viral picture, but with nail changes consistent with onychomadesis. Comment: Onychomadesis secondary to hand-foot-and-mouth disease is a relatively uncommon manifestation, but one that causes considerable anxiety to parents. Recognition of this association makes it possible to guide parents on the transient and benign situation that can arise with this viral infection, avoiding anxiety, overuse of health care, and unnecessary treatments.

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